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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
SHBG finally increased, but the hematocrit increased, ferritin decreased. Thyroid?
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<blockquote data-quote="madman" data-source="post: 197079" data-attributes="member: 13851"><p>Unfortunately, the first 2 sets of labs are from Jan.13 and Feb.12 and during the first 2 months of the year, you had changed your protocol (dose T/injection frequency) numerous times let alone tested well before blood levels would have stabilized (4-6 weeks).</p><p></p><p>Protocol (dose T/injection frequency) would have been kept consistent as it will take 4-6 weeks for blood levels to stabilize let alone we test at the trough.</p><p></p><p>Regardless as you can see from the labs (Jan.13) that your TT 959 ng/dL is on the high end let alone your FT would be very high due to your low SHBG 12.7 nmol/L.</p><p></p><p>Lab (Feb.12) had your TT 594 ng/dL and had your FT <u>above-mid-range or close to the top-end</u> (<u>depending on the age range/reference range used</u>).</p><p></p><p>We have no idea where your FT truly sat as it was not tested using an accurate assay (ED or UF) as unfortunately, you do not have access in your country.</p><p></p><p></p><p><strong>JAN13/2021</strong></p><p>[ATTACH=full]13213[/ATTACH]</p><p></p><p></p><p><strong>FEB12/2021</strong></p><p>[ATTACH=full]13214[/ATTACH]</p><p></p><p></p><p></p><p></p><p><strong>I have been lowering Trt doses due to hematocrit and side effects that increase my blood pressure. I am currently injecting 15 Mg E3D enanthate + 250 ui Hcg twice a week</strong></p><p></p><p>What matters as of now is your most recent labs and as you can clearly see that you are only hitting a TT 400 ng/dL.</p><p></p><p>Have no clue when labs were done but if these are at trough then your TT is fairly low and your SHBG is now higher 29.9 nmol/L which would have your FT low.</p><p></p><p>In your previous labs from Feb.12, your FT is above-mid-range or close to the top-end (depending on the age range/reference range used) and that was with a much high TT of roughly 600 ng/dL and lower SHBG 12.7 nmol/L.</p><p></p><p></p><p><strong>MAR6/2021</strong></p><p>[ATTACH=full]13215[/ATTACH]</p><p>[ATTACH=full]13217[/ATTACH]</p><p></p><p></p><p><strong><u>In early January of this year I had a phlebotomy due to an increase in hematocrit</u>. I only did this once. My triglycerides and cholesterol are always high and I have to be very attentive to my diet. My thyroid needs to be optimized and when I did that the serum iron and ferritin levels went down but the hematocrit is very high.</strong></p><p><strong></strong></p><p><strong><u>Some days I have woken up very weak and the desire is to continue to lie down</u>. 30 days ago I started supplementing 25 mcg T4 + 1 mcg T3. I also take 2 drops of lugol in the morning + 200 mcg of chelated selenium + 30 mg of zinc to try to improve the thyroid.</strong></p><p></p><p>Your hematocrit as of now is high as it sits at 53 and your TT levels are fairly low on your current protocol.</p><p></p><p>Not sure how long you have been on the current protocol?</p><p></p><p>Also, keep in keep in mind T formulation, the dose of T, genetics (polymorphism of the AR), age all play a role in the impact a trt protocol will have on blood markers (RBCs/hemoglobin/hematocrit).</p><p></p><p>Other factors such as sleep apnea, smoking can have a negative impact on hematocrit.</p><p></p><p>For all, we know you may have already had borderline low iron/ferritin even before you did your first blood donation in January, and donating would drop ferritin down further.</p><p></p><p>Although you have dropped your T dose significantly it would take time for hematocrit to drop and regarding the low ferritin/iron you would need to start supplementing which can take 2-3 months for your levels to build back up.</p></blockquote><p></p>
[QUOTE="madman, post: 197079, member: 13851"] Unfortunately, the first 2 sets of labs are from Jan.13 and Feb.12 and during the first 2 months of the year, you had changed your protocol (dose T/injection frequency) numerous times let alone tested well before blood levels would have stabilized (4-6 weeks). Protocol (dose T/injection frequency) would have been kept consistent as it will take 4-6 weeks for blood levels to stabilize let alone we test at the trough. Regardless as you can see from the labs (Jan.13) that your TT 959 ng/dL is on the high end let alone your FT would be very high due to your low SHBG 12.7 nmol/L. Lab (Feb.12) had your TT 594 ng/dL and had your FT [U]above-mid-range or close to the top-end[/U] ([U]depending on the age range/reference range used[/U]). We have no idea where your FT truly sat as it was not tested using an accurate assay (ED or UF) as unfortunately, you do not have access in your country. [B]JAN13/2021[/B] [ATTACH type="full" alt="Screenshot (3759).png"]13213[/ATTACH] [B]FEB12/2021[/B] [ATTACH type="full" alt="Screenshot (3760).png"]13214[/ATTACH] [B]I have been lowering Trt doses due to hematocrit and side effects that increase my blood pressure. I am currently injecting 15 Mg E3D enanthate + 250 ui Hcg twice a week[/B] What matters as of now is your most recent labs and as you can clearly see that you are only hitting a TT 400 ng/dL. Have no clue when labs were done but if these are at trough then your TT is fairly low and your SHBG is now higher 29.9 nmol/L which would have your FT low. In your previous labs from Feb.12, your FT is above-mid-range or close to the top-end (depending on the age range/reference range used) and that was with a much high TT of roughly 600 ng/dL and lower SHBG 12.7 nmol/L. [B]MAR6/2021[/B] [ATTACH type="full" alt="Screenshot (3761).png"]13215[/ATTACH] [ATTACH type="full" alt="Screenshot (3762).png"]13217[/ATTACH] [B][U]In early January of this year I had a phlebotomy due to an increase in hematocrit[/U]. I only did this once. My triglycerides and cholesterol are always high and I have to be very attentive to my diet. My thyroid needs to be optimized and when I did that the serum iron and ferritin levels went down but the hematocrit is very high. [U]Some days I have woken up very weak and the desire is to continue to lie down[/U]. 30 days ago I started supplementing 25 mcg T4 + 1 mcg T3. I also take 2 drops of lugol in the morning + 200 mcg of chelated selenium + 30 mg of zinc to try to improve the thyroid.[/B] Your hematocrit as of now is high as it sits at 53 and your TT levels are fairly low on your current protocol. Not sure how long you have been on the current protocol? Also, keep in keep in mind T formulation, the dose of T, genetics (polymorphism of the AR), age all play a role in the impact a trt protocol will have on blood markers (RBCs/hemoglobin/hematocrit). Other factors such as sleep apnea, smoking can have a negative impact on hematocrit. For all, we know you may have already had borderline low iron/ferritin even before you did your first blood donation in January, and donating would drop ferritin down further. Although you have dropped your T dose significantly it would take time for hematocrit to drop and regarding the low ferritin/iron you would need to start supplementing which can take 2-3 months for your levels to build back up. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
SHBG finally increased, but the hematocrit increased, ferritin decreased. Thyroid?
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